- MetroPlusHealth (New York, NY)
- …come to work being proud of what you do every day. The Behavioral Health Utilization Management (BH UM) Clinician is responsible for conducting ... activities in accordance with New York State and MetroPlusHealth Utilization Management policies and procedures. The position...potential quality of care concerns to the BH UM Clinician Team Lead in a timely manner Contributes to… more
- Molina Healthcare (Long Beach, CA)
- …Medical, or ER unit. Preferred License, Certification, Association Active, unrestricted Utilization Management Certification (CPHM). To all current Molina ... employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. more
- The Home for Little Wanderers (Waltham, MA)
- …here: https://www.youtube.com/watch?v=DXedSArtYbg Out at Home seeks a Mental Health Clinician for their residential program supporting LGBTIA-identifying people and ... and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. Attend in-service trainings and outside… more
- Elevance Health (Memphis, TN)
- …accommodation is granted as required by law. The LTSS Service Coordinator - RN Clinician is responsible for overall management of member's case within the scope ... Anticipated End Date: 2025-08-14 Position Title: LTSS Service Coordinator - RN Clinician Job Description: LTSS Service Coordinator - RN Clinician Location:… more
- Monte Nido And Affiliates Holdings Llc (West Linn, OR)
- …and outpatient providers Interact with insurance companies for pre-certification and utilization management Participating in discharge and aftercare planning ... Grow with us! Mental Health Clinician / Therapist Monte Nido Portland West Linn,...are currently seeking a compassionate and skilled Mental Health Clinician / Therapist to join our dynamic Clinical Team.… more
- Native American Connections (Phoenix, AZ)
- …documentation deadlines Provide reports as requested by supervisor Timely completion of utilization management reviews or submission of documents needed for ... to view open positions and join our circle of care. Behavioral Health Clinician Location: Patina Mountain Preserve: 1431 E Dunlap Ave, Phoenix AZ 85020 Schedule:… more
- Stanford Sierra Youth & Families (Sacramento, CA)
- …& Experience A Masters' degree in Social Work, Psychology, or Counseling; Clinician I: Registered as an Associate Social Worker (ACSW), Associate Professional ... Counselor (APCC) or Associate Marriage and Family Therapist (AMFT); and Clinician II: A Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …Office of Population Health & Accountable Care Organization (ACO) Operations is seeking a Nurse Clinician to join our team. Our team works to change the way care is ... quality and the Quadruple Aim. The Population Health Nurse Clinician functions as a clinical nurse expert and care...members across the continuum of care to provide care management . They will use knowledge of public health concepts… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …The University of Iowa Healthcare, Care Coordination Division is seeking a Nurse Clinician to function as a clinical nurse expert within the Emergency Department and ... follow-up on the plan of care recommendations and guiding the utilization of cost-effective resources. This position will manage a specified population… more
- West Tennessee Healthcare (Jackson, TN)
- …to best practices in client care Participates in Quality Assurance & Improvement, Utilization Management , and other agency and system functions Other activities ... Job Description Summary: Under the supervision of the Clinical Manager, the Clinician , Non-Licensed, or " Clinician ", is responsible for outpatient mental and… more
- Baptist Health (Little Rock, AR)
- …OASIS items, documentation, and utilization for quality and outcome management through clinician collaboration and implementation of best clinical practices. ... Responsible for identifying opportunities for improved OASIS accuracy and reporting these to clinical managers and clinicians. QRM will partner with Directors and the Baptist Network Administrator on initiatives to improve quality outcomes and agency ratings.… more
- Optum CA (Chatsworth, CA)
- …clinicians and Employed/Group clinicians in terms of risk adjustment, quality metrics, utilization management , patient satisfaction and inpatient metrics in the ... join our team in Chatsworth, CA. Optum is a clinician -led care organization that is changing the way clinicians...clinic setting Proven willingness to learn risk adjustment, quality, utilization management , IPA and group management… more
- Amberwell Health (Atchison, KS)
- … in an acute care nursing unit or experience in a Health Information Management field with Utilization Review job duties necessary. At least two years ... Locations Job Shift Day Job Category Nursing - Hospital Description The Utilization Review/Case Manager will assure maximum coverage by third party payers for… more
- Curative (Irving, TX)
- …healthcare staffing industry, adapting to changing demands and opportunities. Utilization of Resources: Utilize our technology, established reputation, and resources ... of five (5) years of experience in recruiting, sales, or account management , with a Bachelor's degree or equivalent experience preferred. Communication & Sales… more
- Kaiser Permanente (Vallejo, CA)
- …enhance care coordination, makes referral recommendations, develops and maintains case management policies, and solves issues related to treatment plans and ... of stay, services provided, cost), facilitating interventions, conducting quality management studies and/or audits, and collaborating with stakeholders to improve… more
- Stanford Health Care (Stanford, CA)
- …assigned area Knowledge of basic business aspects of position, such as utilization management , charging practices and regulatory practice compliance; Knowledge ... and adherence to Code of Ethics and performance standards specific to the clinician 's professional organization Knowledge of available equipment and vendors used in… more
- OptiMindHealth (Reading, MA)
- …Part-Time FLSA Status: Non-Exempt Location: Reading , MA Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and seeking ... all aspects of referral relationships including access, communication and medical management are working positively for these medical providers and healthcare… more
- Truveta (Seattle, WA)
- …Data. Our mission is to enable researchers to find cures faster, empower every clinician to be an expert, and help families make the most informed decisions about ... building the foundational systems that power user access, organizational management , and seamless customer experiences from onboarding through ongoing operations.… more
- Elevance Health (Woodland Hills, CA)
- …thinking skills and nursing judgment and experience. Collaborates with case management nurses on discharge planning, ensuring patient has appropriate equipment, ... members about plan benefits and physicians and may assist with case management . Collaborates with leadership in enhancing training and orientation materials. May… more
- Duke University (Durham, NC)
- …draining wounds, or incontinence, throughout the organization. This includes utilization of clinical expertise to provide preoperative and postoperative care, ... in need of wound, ostomy, and / or continence management . The WOC CSN's primary responsibility is to educate...is an integral part of multiple teams, as a clinician , educator and consultant. Job Duties and Responsibilities Plan… more
